Harris R C, Munger K A, Badr K F, Takahashi K
Division of Nephrology, Vanderbilt University Medical Center, Nashville, Tennessee 37212.
FASEB J. 1990 Apr 1;4(6):1654-60. doi: 10.1096/fasebj.4.6.2138579.
In the rat, intrarenal infusion of epidermal growth factor decreases renal blood flow and glomerular filtration rate, and epidermal growth factor (EGF) induces contraction of cultured rat mesangial cells. The present studies examined the role of arachidonic acid metabolites in this response. Intrarenal EGF infusion increased urinary iPGF2 alpha by 300%, and in isolated glomeruli EGF stimulated iPGF2 alpha by 38%, but did not affect thromboxane B2 production. Furthermore, the thromboxane A2 receptor antagonist, SQ29548, did not block EGF's vasoconstrictive effects. After selective cyclooxygenase inhibition with ibuprofen, intrarenal EGF infusion no longer produced local vasoconstriction but instead led to systemic vasodilation (SBP: 117 +/- 10 vs. 98 +/- 7; n = 5; P less than 0.05) that was accompanied by significant increases in RPF (3.8 +/- 0.4 vs. 5.6 +/- 0.2; P less than 0.01) and glomerular filtration rate (0.9 +/- 0.1 vs. 1.1 +/- 0.1; P less than 0.05). When total arachidonate metabolism was inhibited by the additional administration of 5,8,11,14-eicosatetraynoic acid, the EGF-induced vasodilation observed during cyclooxygenase inhibition alone was abolished, and vasoconstrictor responses to EGF were again noted. Similar effects were noted with concomitant administration of the c-P450 inhibitor ketoconazole. EGF's vasoconstrictive effects were unaltered by the simultaneous administration of the angiotensin II antagonist saralasin. Thus, the renal hemodynamic responses to EGF are mediated in part by arachidonic acid metabolites. Cyclooxygenase inhibition unmasks a potent renal and systemic vasodilator action of EGF owing to its stimulation of systemic release of noncyclooxygenase arachidonate metabolites.
在大鼠中,肾内输注表皮生长因子可降低肾血流量和肾小球滤过率,且表皮生长因子(EGF)可诱导培养的大鼠系膜细胞收缩。本研究探讨了花生四烯酸代谢产物在这一反应中的作用。肾内输注EGF使尿中iPGF2α增加300%,在分离的肾小球中,EGF使iPGF2α增加38%,但不影响血栓素B2的产生。此外,血栓素A2受体拮抗剂SQ29548不能阻断EGF的血管收缩作用。用布洛芬选择性抑制环氧化酶后,肾内输注EGF不再产生局部血管收缩,反而导致全身血管舒张(收缩压:117±10 vs. 98±7;n = 5;P<0.05),同时肾血浆流量显著增加(3.8±0.4 vs. 5.6±0.2;P<0.01)和肾小球滤过率增加(0.9±0.1 vs. 1.1±0.1;P<0.05)。当额外给予5,8,11,14-二十碳四烯酸抑制花生四烯酸的总代谢时,单独环氧化酶抑制期间观察到的EGF诱导的血管舒张被消除,再次出现对EGF的血管收缩反应。同时给予细胞色素P450抑制剂酮康唑也观察到类似效果。同时给予血管紧张素II拮抗剂沙拉新不改变EGF的血管收缩作用。因此,EGF对肾血流动力学的反应部分由花生四烯酸代谢产物介导。环氧化酶抑制揭示了EGF强大的肾和全身血管舒张作用,这是由于其刺激了非环氧化酶途径的花生四烯酸代谢产物的全身释放。